目前可用的非侵入性连续血压监测器可以用动脉导管取代侵入性测量吗?
Payton Gore1, Hong Liu1, Christian Bohringer1
1Anesthesiology, University of California Davis Medical Center, Sacramento, USA.
Cureus
|March 26, 2024
概括
精确的血压 (BP) 监测在麻醉中至关重要. 虽然非侵入性设备正在改善,但侵入性动脉线仍然是重症监护血液动力学评估的黄金标准.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 心血管生理学心血管生理学
背景情况:
- 一般麻醉期间血压 (BP) 的偏差与不良结果有关,因此精确的BP测量至关重要.
- 正常的血压并不总是保证足够的器官 perfusion,突出需要先进的监测.
- 侵入性监测已经发展到包括脉冲轮分析,用于心脏输出和中风体积变化.
研究的目的:
- 评估新的非侵入性连续血压监测设备的准备情况,以取代侵入性动脉导管.
- 为了比较非侵入性和侵入性血液动力学监测技术的可靠性和验证性.
主要方法:
- 关于侵入性和非侵入性血压监测技术的当前文献的综述.
- 动脉线衍生的脉冲轮分析与较新的手指袖子监视器数据的比较.
- 在特定患者群体中评估非侵入性血压监测的可靠性.
主要成果:
- 非侵入性连续血压监测器已经进步,但在重症患者,老年人或动脉化的患者中不可靠.
- 动脉线衍生的脉冲轮分析显示,对心脏输出和中风体积变化的验证比手指袖监视器更好.
- 动脉内导管允许频繁取血样以检测重要参数,这是非侵入性器件缺乏的能力.
结论:
- 用动脉线进行侵入性监测仍然是重症患者血压测量和血液动力学评估的黄金标准.
- 预计非侵入性连续血压监测器将取代间歇性设备在外科环境中.
- 尽管非侵入性技术的进步,重症患者将继续需要动脉导管.
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